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1.
Decision Making: Applications in Management and Engineering ; 6(1):365-378, 2023.
Article in English | Scopus | ID: covidwho-20241694

ABSTRACT

COVID-19 is a raging pandemic that has created havoc with its impact ranging from loss of millions of human lives to social and economic disruptions of the entire world. Therefore, error-free prediction, quick diagnosis, disease identification, isolation and treatment of a COVID patient have become extremely important. Nowadays, mining knowledge and providing scientific decision making for diagnosis of diseases from clinical datasets has found wide-ranging applications in healthcare sector. In this direction, among different data mining tools, association rule mining has already emerged out as a popular technique to extract invaluable information and develop important knowledge-base to help in intelligent diagnosis of distinct diseases quickly and automatically. In this paper, based on 5434 records of COVID cases collected from a popular data science community and using Rapid Miner Studio software, an attempt is put forward to develop a predictive model based on frequent pattern growth algorithm of association rule mining to determine the likelihood of COVID-19 in a patient. It identifies breathing problem, fever, dry cough, sore throat, abroad travel and attended large gathering as the main indicators of COVID-19. Employing the same clinical dataset, a linear regression model is also proposed having a moderately high coefficient of determination of 0.739 in accurately predicting the occurrence of COVID-19. A decision support system can also be developed using the association rules to ease out and automate early detection of other diseases. © 2023 by the authors.

2.
Journal of Social Science (2720-9938) ; 4(3):815-825, 2023.
Article in English | Academic Search Complete | ID: covidwho-20239988

ABSTRACT

One form of Data Mining application to analyze Market Basket Analysis. Market Basket Analysis helps identify buying patterns formed from concurrent transactions. One of the problems with Market Basket Analysis is that customer needs vary according to season and time of day, especially during this covid-19 season. For this purpose, by using the Artificial Neural Network (ANN) Approach that is connected to Market Basket Analysis, it can analyze and compare purchasing patterns and can identify rules that were formed before and after covid-19;several rule changes were found due to changes in people's behavior patterns. [ FROM AUTHOR] Copyright of Journal of Social Science (2720-9938) is the property of Ridwan Institute and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

3.
EAI/Springer Innovations in Communication and Computing ; : 121-143, 2023.
Article in English | Scopus | ID: covidwho-2320436

ABSTRACT

Concerns about the effects of global warming and predicted rising sea levels are radically changing government policies to lower carbon emissions using sustainable green technologies. The United Kingdom aims to reduce its carbon emissions by 78% by 2035 and achieve net zero by 2050. This is a major driver for energy management and is influencing development of buildings which use autonomous smart technologies to assist in lowering carbon footprints. These Smart Buildings use digital technologies by connecting sensor data with intelligent systems which can be monitored remotely to provide more efficient facilities management. The data harvested and transmitted from the IoT sensors provides a key component for Big Data Analytics using techniques such as Association rule mining for intelligent interpretation which can assist facilities management becoming more agile regarding office space utilization. The shift toward hybrid working particularly instigated by the COVID-19 pandemic and recent energy supply concerns caused by the Ukraine crisis presents facilities management with opportunities to optimize their space, reduce energy consumption, and allow them to identify commercial opportunities for the unused space throughout the building. This chapter discusses the use of association rules for data mining derived from a simulated dataset for an investigative analysis of office workflow patterns for facilities management operations, resource conservation, and sustainability. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

4.
1st International Conference on Futuristic Technologies, INCOFT 2022 ; 2022.
Article in English | Scopus | ID: covidwho-2314789

ABSTRACT

In the early months of 2020, pandemic covid-19 hit many parts of the world. Especially developing countries like India observed a negative growth rate in few quarters of last financial year. Retailing is one of the key sectors that contribute to Indian GDP with a share of nearly 10 percent. Hence there is a need for the retail sector to bounce back which is possible with the efficient use of new digital technologies. Market basket analysis is used here to extract the association rules which can be directly used for formulating discount and combo offers. Along with that, these rules can be used to decide the product positioning in the retail store. Items which are bought together can be placed next to each other to increase sales. Recommendation systems are most commonly used in ecommerce websites like Amazon, Flipkart, etc, and streaming platforms like Netflix to recommend the items that are to be purchased by users. Although recommendation engines are implemented in multiple web and mobile applications, these are not in the implementation stage in offline retail stores due to many implications associated with them like infrastructure, cost, etc. In this project, we have used market basket analysis and recommendation systems to propose a model to implement in retail stores to increase sales revenues and enhance customer experience. © 2022 IEEE.

5.
Health Science Reports ; 2023.
Article in English | EMBASE | ID: covidwho-2312247

ABSTRACT

Background and Aims: Data mining methods are effective and well-known tools for developing predictive models and extracting useful information from various data of patients. The present study aimed to predict the severity of patients with COVID-19 by applying the rule mining method using characteristics of medical images. Method(s): This retrospective study has analyzed the radiological data from 104 COVID-19 hospitalized patients diagnosed with COVID-19 in a hospital in Iran. A data set containing 75 binary features was generated. Apriori method is utilized for association rule mining on this data set. Only rules with confidence equal to one were generated. The performance of rules is calculated by support, coverage, and lift indexes. Result(s): Ten rules were extracted with only X-ray-related features on cases referred to ICU. The Support and Coverage index of all of these rules was 0.087, and the Lift index of them was 1.58. Thirteen rules were extracted from only CT scan-related features on cases referred to ICU. The CXR_Pleural effusion feature has appeared in all the rules. The CXR_Left upper zone feature appears in 9 rules out of 10. The Support and Coverage index of all rules was 0.15, and the Lift index of all rules was 1.63. the CT_Adjacent pleura thickening feature has appeared in all rules, and the CT_Right middle lobe appeared in 9 rules out of 13. Conclusion(s): This study could reveal the application and efficacy of CXR and CT scan imaging modalities in predicting ICU admission to a major COVID-19 infection via data mining methods. The findings of this study could help data scientists, radiologists, and clinicians in the future development and implementation of these methods in similar conditions and timely and appropriately save patients from adverse disease outcomes.Copyright © 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC.

6.
Connection Science ; 35(1), 2023.
Article in English | Scopus | ID: covidwho-2293034

ABSTRACT

The COVID-19 pandemic has generated massive data in the healthcare sector in recent years, encouraging researchers and scientists to uncover the underlying facts. Mining interesting patterns in the large COVID-19 corpora is very important and useful for the decision makers. This paper presents a novel approach for uncovering interesting insights in large datasets using ontologies and BERT models. The research proposes a framework for extracting semantically rich facts from data by incorporating domain knowledge into the data mining process through the use of ontologies. An improved Apriori algorithm is employed for mining semantic association rules, while the interestingness of the rules is evaluated using BERT models for semantic richness. The results of the proposed framework are compared with state-of-the-art methods and evaluated using a combination of domain expert evaluation and statistical significance testing. The study offers a promising solution for finding meaningful relationships and facts in large datasets, particularly in the healthcare sector. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

7.
1st IEEE International Interdisciplinary Humanitarian Conference for Sustainability, IIHC 2022 ; : 517-522, 2022.
Article in English | Scopus | ID: covidwho-2260347

ABSTRACT

Pandemic COVID-19 struck numerous regions of the planet in the first few months of 2020. India and other emerging nations in particular saw negative growth over a few quarters of the previous fiscal year. With a contribution of over 10%, retailing is one of the major industries that contribute to India's GDP. As a result, the retail industry must recover, which may be done with the effective application of new digital technology. Here, association rules that may be utilised to create discounts and package deals are extracted using market basket analysis. Additionally, similar guidelines may be applied to determine where to arrange a product in a retail setting. Items purchased in bulk can be arranged adjacent to one another to improve sales. To suggest the products that consumers should buy, recommendation algorithms are most frequently employed in e-commerce websites like Amazon, Flipkart, etc. and streaming platforms like Netflix. Although there are numerous online and mobile apps that use recommendation engines, physical retail businesses have not yet adopted them owing to the various consequences they have, such as infrastructure, cost, etc. In this project, we've used market basket research and recommendation algorithms to develop a model that can be used in retail establishments to boost sales and improve customer satisfaction. © 2022 IEEE.

8.
Journal of Information Science ; : 1, 2023.
Article in English | Academic Search Complete | ID: covidwho-2250739

ABSTRACT

The COVID-19 pandemic has already shown to be a worldwide threat, demonstrating how susceptible humans may be. It has also inspired experts from a range of aspects and countries to find the potential solution to control the widespread. In line with this, our research proposes a novel framework for finding interesting facts from COVID-19 corpora using domain ontology. Since data mining with domain knowledge provides semantically rich facts, we use ontology in our proposed approaches. Most of the state-of-the-art methods rely on instance level or user intervention. These methods do not entirely exploit the richness of ontology. In this work, we demonstrate how to extract exciting rules from data at ontology's schema and instance levels. Our experiments were carried out on two COVID-19 corpora that depict COVID-19 patients' symptoms and drug information. The proposed framework outperformed the traditional methods by reducing the number of rules by 70% and generating semantic-rich rules that are more user-readable and quickly adopted by decision-makers. Furthermore, to support our claims, we compared the outcomes of the proposed framework with the most recent approach in the field. Also, statistically significant tests and domain expert evaluations are conducted to validate our framework. [ FROM AUTHOR] Copyright of Journal of Information Science is the property of Sage Publications, Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

9.
2022 IEEE Pune Section International Conference, PuneCon 2022 ; 2022.
Article in English | Scopus | ID: covidwho-2280890

ABSTRACT

The rise of multiple company competitors during the COVID-19 outbreak resulted in fierce competition among competing firms for new clients and the retention of current ones. As a result of the foregoing, exceptional customer service is required, regardless of the size of the organization. Furthermore, any company's ability to know each of its customers' desires will provide it an advantage when it comes to providing specialized customer care and establishing customized marketing plans for them. The term 'Consumer Buying Behavior Analysis' refers to a comprehensive assessment of the company's ideal clients/customers. In this project, we're utilizing the K-Means Algorithm to divide clients into two groups: 'Highly Active Customers' and 'Least Active Customers.' Then, utilizing the Apriori Algorithm, we use Association Rule Mining to recommend the best goods to clients based on their purchasing history and associations. We take one step further and use Logistic Regression to validate our Clustering operation by doing Binary Classification with our clusters as the label, resulting in accuracy and an F1 score of 91%. © 2022 IEEE.

10.
19th IEEE India Council International Conference, INDICON 2022 ; 2022.
Article in English | Scopus | ID: covidwho-2247891

ABSTRACT

Finding interesting association rules is a popular and current topic in data mining. The Apriori family of algorithms is built around two rule extraction measures: support and confidence. Even though these two measures are easy to compute, they yield many rules, the majority of which are redundant and may not be of interest to the user. Also, by themselves, support and confidence do not generate strong rules. Additional measures are required to mine interesting facts from data. Ontologies have become the fundamental building blocks for structuring and formalizing data. With the semantic structuring of information, the implicit relationship between data elements makes the analyst get important facts from the data. Our study proposes a novel framework for interestingness in data by combining domain ontology with semantic interestingness measures. The ontology-based method infers rules that are semantically enriched and strong. We analyze the quality of the rule considering the factors defined by the domain experts. It is observed that our methodology generates semantically enriched rules that are more acceptable to domain experts. © 2022 IEEE.

11.
Journal of Logistics, Informatics and Service Science ; 9(4):119-128, 2022.
Article in English | Scopus | ID: covidwho-2206029

ABSTRACT

The coronavirus disease 2019 (COVID-19) is a humanitarian crisis that is spreading throughout the world. COVID-19 will be worse to countries that have weak healthcare and economic systems. Countries that are highly affected by coronavirus disease will have problems with international trade since the virus has a high infection rate. This will have effects on the trading economy which will cause export restrictions and trade barriers which make the country trade worse and can cause livelihood problems for the country. But there are countries that handle the pandemic excellently and manage to control the outbreak. Therefore, this research studies one country which is New Zealand on how the coronavirus disease affects their trading economy. This research consists of five phases of research methodology to be conducted before presenting the final findings. The five phases are dataset collection, data preprocessing, decision tree regressor, apriori algorithm under association rule mining and finally data visualizations. Using decision tree regressor, apriori algorithm and data visualizations for results, the outcomes of the findings show that the trade for New Zealand is not badly affected by the coronavirus pandemic and two association rules that support their economy have been discovered. © 2022, Success Culture Press. All rights reserved.

12.
Journal of System and Management Sciences ; 12(6):511-531, 2022.
Article in English | Scopus | ID: covidwho-2206028

ABSTRACT

Electronic commerce (henceforth referred to as e-commerce) has attracted many people to buy things online because of its convenience. With Covid-19 pandemic, the popularity of e-commerce increases as many people are working from home. Ability to understand customers' surfing and buying behavior on the e-commerce platform provides competitive advantage to e-commerce companies by being able to devise specific marketing plans to increase their market coverage and subsequently revenues from online sales of products. This paper discusses how the results derived from both, the exploratory data analysis (EDA) and association rule mining (ARM) can assist e-commerce companies to design specific marketing plans. The methodology consists of data understanding, data pre-processing, EDA, ARM, and analysis of results. A public dataset that is made available in the year 2020 consisting of clickstream data that are collected in 2018 from a popular fashion e-commerce website is used as a case study to prove the viability of the methodology in deriving results that can be used to design specific marketing plans. This study proves that it is possible to use clickstream data consisting of customers' surfing and buying behavior and apply the methodology to derive analysis and devise better marketing plans. © 2022, Success Culture Press. All rights reserved.

13.
Journal of System and Management Sciences ; 12(5):36-56, 2022.
Article in English | Scopus | ID: covidwho-2120801

ABSTRACT

Electronic commerce (henceforth referred to as e-commerce) has attracted many people to buy things online because of its convenience. With Covid-19 pandemic, the popularity of e-commerce increases as many people are working from home. Ability to understand customers' surfing and buying behavior on the e-commerce platform provides competitive advantage to e-commerce companies by being able to devise specific marketing plans to increase their market coverage and subsequently revenues from online sales of products. This paper discusses how the results derived from both, the exploratory data analysis (EDA) and association rule mining (ARM) can assist e-commerce companies to design specific marketing plans. The methodology consists of data understanding, data pre-processing, EDA, ARM, and analysis of results. A public dataset that is made available in the year 2020 consisting of clickstream data that are collected in 2018 from a popular fashion e-commerce website is used as a case study to prove the viability of the methodology in deriving results that can be used to design specific marketing plans. This study proves that it is possible to use clickstream data consisting of customers’ surfing and buying behavior and apply the methodology to derive analysis and devise better marketing plans. © 2022, Success Culture Press. All rights reserved.

14.
BMC Med Res Methodol ; 22(1): 281, 2022 11 01.
Article in English | MEDLINE | ID: covidwho-2098313

ABSTRACT

BACKGROUND: The aim of this study was to evaluate the most effective combination of autoregressive integrated moving average (ARIMA), a time series model, and association rule mining (ARM) techniques to identify meaningful prognostic factors and predict the number of cases for efficient COVID-19 crisis management. METHODS: The 3685 COVID-19 patients admitted at Thailand's first university field hospital following the four waves of infections from March 2020 to August 2021 were analyzed using the autoregressive integrated moving average (ARIMA), its derivative to exogenous variables (ARIMAX), and association rule mining (ARM). RESULTS: The ARIMA (2, 2, 2) model with an optimized parameter set predicted the number of the COVID-19 cases admitted at the hospital with acceptable error scores (R2 = 0.5695, RMSE = 29.7605, MAE = 27.5102). Key features from ARM (symptoms, age, and underlying diseases) were selected to build an ARIMAX (1, 1, 1) model, which yielded better performance in predicting the number of admitted cases (R2 = 0.5695, RMSE = 27.7508, MAE = 23.4642). The association analysis revealed that hospital stays of more than 14 days were related to the healthcare worker patients and the patients presented with underlying diseases. The worsening cases that required referral to the hospital ward were associated with the patients admitted with symptoms, pregnancy, metabolic syndrome, and age greater than 65 years old. CONCLUSIONS: This study demonstrated that the ARIMAX model has the potential to predict the number of COVID-19 cases by incorporating the most associated prognostic factors identified by ARM technique to the ARIMA model, which could be used for preparation and optimal management of hospital resources during pandemics.


Subject(s)
COVID-19 , Humans , Aged , COVID-19/epidemiology , Time Factors , Models, Statistical , Pandemics , Forecasting , Data Mining
15.
Journal of Mobile Multimedia ; 19(1), 2023.
Article in English | Scopus | ID: covidwho-2080998

ABSTRACT

Background: COVID-19 is a major public health emergency wreaking havoc on public health, happiness, and liberty of travel, as well as the worldwide economy. Scientists from all over the world are working to develop treatments and vaccines;the WHO has given emergency approval to eight vaccines from around the world. However, it is also seen that the efficiency of vaccines is not up to the mark in different age groups. COVID-19 symptoms come in many different shapes and sizes, so it s important to learn about them as soon as possible so that medical attention and management can be easier. Method: The GitHub Data Repository-made COVID-19 patient data is available on the internet, which is used in this investigation. We have used the association rule mining method to look for common patterns in a targeted class or segment and then look at the symptoms based on them. Result: The result is that this study involves individuals with a median age of 52 years old. Few frequent symptoms like respiratory failure (1%), septic shock (1.4%), respiratory distress syndrome (1.8%), diarhoea (1.8%), nausea (2%), sputum (3%), headache (5%), sore throat (8%), pneumonia (8%), weakness (7%), malaise/body pain (11%), cough (37%), fever (67%) and remaining diseases like myocardial infarction, cardiac failure, and renal illness (less than 1%) were present. If a patient had chronic disease, respiratory failure, and pneumonia, there was a higher risk of death;if a patient had a combination of chronic disease, respiratory failure, and pneumonia, respiratory failure in the age range of 45 to 84 years there was a higher risk of death. Patients having chronic conditions like pneumonia or renal disease symptoms that died as a result of the corona virus had more serious indication patterns than those without chronic diseases. © 2023 River Publishers. All rights reserved.

16.
International Journal of Computer Theory and Engineering ; 14(1):1-8, 2022.
Article in English | Scopus | ID: covidwho-2030317

ABSTRACT

The COVID-19 pandemic has led to an increase in digitization. With the strict social and physical distancing measures in place, new routines require accessing the internet for most online services which have led to the explosive growth of data. As a consequence, data mining technologies are used for the extraction of useful information from a huge compilation of such digital data. Thus, the desire to mine data from varied sources to discover behaviors and patterns among entities such as customers, diseases, and environmental conditions is on the rise which can be accomplished by association rule mining. However, such pattern discovery by association rule mining also discloses the personal information of an individual or organization. Thus, the challenge of association rule mining is privacy preservation wherein confidentiality of sensitive rules should be maintained while releasing the database of third parties. Privacy-preserving association rule mining is the process of modifying the original database to hide the sensitive rules for preserving privacy. Thus, the paper emphasizes multiple objectives like minimizing the side effects of hiding sensitive rules. i.e. reduce the number of ghost rules, lost rules, and hiding failure along with the increase in utility of the data. Copyright © 2022 by the authors.

17.
JMIR Form Res ; 6(9): e37984, 2022 Sep 07.
Article in English | MEDLINE | ID: covidwho-2022387

ABSTRACT

BACKGROUND: The COVID-19 pandemic is a substantial public health crisis that negatively affects human health and well-being. As a result of being infected with the coronavirus, patients can experience long-term health effects called long COVID syndrome. Multiple symptoms characterize this syndrome, and it is crucial to identify these symptoms as they may negatively impact patients' day-to-day lives. Breathlessness, fatigue, and brain fog are the 3 most common continuing and debilitating symptoms that patients with long COVID have reported, often months after the onset of COVID-19. OBJECTIVE: This study aimed to understand the patterns and behavior of long COVID symptoms reported by patients on the Twitter social media platform, which is vital to improving our understanding of long COVID. METHODS: Long COVID-related Twitter data were collected from May 1, 2020, to December 31, 2021. We used association rule mining techniques to identify frequent symptoms and establish relationships between symptoms among patients with long COVID in Twitter social media discussions. The highest confidence level-based detection was used to determine the most significant rules with 10% minimum confidence and 0.01% minimum support with a positive lift. RESULTS: Among the 30,327 tweets included in our study, the most frequent symptoms were brain fog (n=7812, 25.8%), fatigue (n=5284, 17.4%), breathing/lung issues (n=4750, 15.7%), heart issues (n=2900, 9.6%), flu symptoms (n=2824, 9.3%), depression (n=2256, 7.4%) and general pains (n=1786, 5.9%). Loss of smell and taste, cold, cough, chest pain, fever, headache, and arm pain emerged in 1.6% (n=474) to 5.3% (n=1616) of patients with long COVID. Furthermore, the highest confidence level-based detection successfully demonstrates the potential of association analysis and the Apriori algorithm to establish patterns to explore 57 meaningful relationship rules among long COVID symptoms. The strongest relationship revealed that patients with lung/breathing problems and loss of taste are likely to have a loss of smell with 77% confidence. CONCLUSIONS: There are very active social media discussions that could support the growing understanding of COVID-19 and its long-term impact. These discussions enable a potential field of research to analyze the behavior of long COVID syndrome. Exploratory data analysis using natural language processing methods revealed the symptoms and medical conditions related to long COVID discussions on the Twitter social media platform. Using Apriori algorithm-based association rules, we determined interesting and meaningful relationships between symptoms.

18.
Int J Mol Sci ; 23(15)2022 Jul 26.
Article in English | MEDLINE | ID: covidwho-1957353

ABSTRACT

Usefulness of Vaccine-Adverse Event-Reporting System (VAERS) data and protocols required for statistical analyses were pinpointed with a set of recommendations for the application of machine learning modeling or exploratory analyses on VAERS data with a case study of COVID-19 vaccines (Pfizer-BioNTech, Moderna, Janssen). A total of 262,454 duplicate reports (29%) from 905,976 reports were identified, which were merged into a total of 643,522 distinct reports. A customized online survey was also conducted providing 211 reports. A total of 20 highest reported adverse events were first identified. Differences in results after applying various machine learning algorithms (association rule mining, self-organizing maps, hierarchical clustering, bipartite graphs) on VAERS data were noticed. Moderna reports showed injection-site-related AEs of higher frequencies by 15.2%, consistent with the online survey (12% higher reporting rate for pain in the muscle for Moderna compared to Pfizer-BioNTech). AEs {headache, pyrexia, fatigue, chills, pain, dizziness} constituted >50% of the total reports. Chest pain in male children reports was 295% higher than in female children reports. Penicillin and sulfa were of the highest frequencies (22%, and 19%, respectively). Analysis of uncleaned VAERS data demonstrated major differences from the above (7% variations). Spelling/grammatical mistakes in allergies were discovered (e.g., ~14% reports with incorrect spellings for penicillin).


Subject(s)
COVID-19 Vaccines , COVID-19 , Adverse Drug Reaction Reporting Systems , COVID-19/epidemiology , COVID-19/prevention & control , COVID-19 Vaccines/adverse effects , Child , Female , Humans , Machine Learning , Male , Pain/chemically induced , Penicillins , United States , Vaccines/adverse effects
19.
Inf Syst ; 109: 102054, 2022 Nov.
Article in English | MEDLINE | ID: covidwho-1895107

ABSTRACT

This work utilizes data from Twitter to mine association rules and extract knowledge about public attitudes regarding worldwide crises. It exploits the COVID-19 pandemic as a use case, and analyzes tweets gathered between February and August 2020. The proposed methodology comprises topic extraction and visualization techniques, such as WordClouds, to form clusters or themes of opinions. It then uses Association Rule Mining (ARM) to discover frequent wordsets and generate rules that infer to user attitudes. The goal is to utilize ARM as a postprocessing technique to enhance the output of any topic extraction method. Therefore, only strong wordsets are stored after discarding trivia ones. We also employ frequent wordset identification to reduce the number of extracted topics. Our findings showcase that 50 initially retrieved topics are narrowed down to just 4, when combining Latent Dirichlet Allocation with ARM. Our methodology facilitates producing more accurate and generalizable results, whilst exposing implications regarding social media user attitudes.

20.
J Pediatr Health Care ; 2022 Jun 01.
Article in English | MEDLINE | ID: covidwho-1867656

ABSTRACT

INTRODUCTION: This study sought to identify social determinants of health (SDH) patterns associated with severe pediatric injuries. METHOD: We used cross-sectional data from children (≤18 years) admitted to a pediatric trauma center between March and November 2021 (n = 360). We used association rule mining (ARM) to explore SDH patterns associated with severe injury. We then used ARM-identified SDH patterns in multivariable logistic regressions of severe injury, controlling for patient and caregiver demographics. Finally, we compared results to naive hierarchical logistic regressions that considered SDH types as primary exposures rather than SDH patterns. RESULTS: We identified three SDH patterns associated with severe injury: (1) having child care needs in combination with neighborhood violence, (2) caregiver lacking health insurance, and (3) caregiver lacking social support. In the ARM-informed logistic regression models, the presence of a child care need in combination with neighborhood violence was associated with an increased odds of severe injury (aOR, 2.77; 95% CI, 1.01-7.62), as was caregiver lacking health insurance (aOR, 2.29; 95% CI, 1.02-5.16). In the naive hierarchical logistic regressions, no SDH type in isolation was associated with severe injury. DISCUSSION: Our exploratory analyses suggest that considering the co-occurrence of negative SDH that families experience rather than isolated SDH may provide greater insights into prevention strategies for severe pediatric injury.

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